| Type of Incident: | Other — Do not use if a team, player, coach, or spectator is involved. Use only if the incident cannot be classified as any other Type of Incident above. |
| Date of Incident: | 2018-03-24 |
| Time of Incident: | 03:00:00 |
| Location of Incident: | Santa Rosa CA |
| Home Team: | Deportivo santa rosa aguilas |
| Visiting Team: | Bulldogs 2004 Oakland |
| Age Group and Gender: | U14B |
| Team Affiliation of Individual Committing Incident: | Deportivo santa rosa aguilas |
| Incident Summary: | Allegation that a team failed to appear for a match. |
| Comments: | Please direct this to the Event Coordinator as he will make the initial ruling. |